The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-0604

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Bushkov F.A.

Preodolenie Rehabilitation Center

Romanovskaya E.V.

Rehabilitation center «Overcoming»

Usanova E.V.

Rehabilitation center «Overcoming»

Razumov A.N.

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Sichinava N.V.

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare of Moscow

Upper limb motor and functional recovery in patients with tetraplegia

Authors:

Bushkov F.A., Romanovskaya E.V., Usanova E.V., Razumov A.N., Sichinava N.V.

More about the authors

Journal: S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(1): 47‑52

DOI: 10.17116/jnevro202112101147

Views: 2289

Downloaded: 93

Download PDF (RU)
Contact the author
Table of contents

To cite this article:

Bushkov FA, Romanovskaya EV, Usanova EV, Razumov AN, Sichinava NV. Upper limb motor and functional recovery in patients with tetraplegia. S.S. Korsakov Journal of Neurology and Psychiatry. 2021;121(1):47‑52. (In Russ.)
https://doi.org/10.17116/jnevro202112101147

 
МСФ на ЯМ
Close metadata
Recommended articles:
Features of pain syndrome in vertebrogenic pathology in women. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(5):14-21
Possibilities of mirror therapy in cognitive reha­bilitation after stroke. S.S. Korsakov Journal of Neurology and Psychiatry. 2024;(8-2):64-71
Factors of physical acti­vity in children after congenital heart disease repair. Russian Journal of Cardiology and Cardiovascular Surgery. 2024;(2):158-163
Rationale for early reha­bilitation of patients with uterine corpus cancer. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(2):18-23
Physiotherapy in reha­bilitation of patients with dege­nerative disk diseases from posi­tions of evidence-based medi­cine: a lite­rature review. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(2):57-63
Mela­tonin at the health-resort stage of treatment and reha­bilitation in national practice. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(1):55-59
Effe­ctiveness of orga­nizational-functional model for complex reha­bilitation of children requiring upper limb replacement for congenital diseases. Medi­cal Technologies. Asse­ssment and Choice. 2024;(2):40-47
Effe­ctiveness of physical reha­bilitation methods based on the impact of ecce­ntric load in upper limb inju­ries. Problems of Balneology, Physiotherapy and Exercise Therapy. 2024;(3):13-17
Reha­bilitation of patients with facial neuropathy. Rege­nerative Biotechnologies, Preventive, Digi­tal and Predictive Medi­cine. 2024;(2):28-41
Resu­lts of the impact of personalized reha­bilitation on the quality of life of men after lapa­roscopic prostatectomy. P.A. Herzen Journal of Onco­logy. 2024;(4):22-28

OBJECTIVE

To study the recovery of the upper limb motor function and functional independence in patients with cervical spinal cord injury.

MATERIAL AND METHODS

The study included 49 patients with subacute tetraplegia, mean age 33±14.8 years, 42 men and 7 women, admitted to the Preodolenie Rehabilitation Center. The follow-up was up to 2 years. The clinical and functional states were assessed after 3, 6, 12 and more than 12 months after spinal injury, using the ASIA neurological standard scale, the motor subscale of Functional Independence Scale (FIM) and short form of Van Lieshout Test (VLT). All patients received continuous rehabilitation courses that included physiotherapy, occupational therapy, social support, psychological rehabilitation.

RESULTS

Upper limb motor recovery occurred in the first 6 months after spinal cord injury at 5±3.9 points (ASIA), while in 49% patients motor level decreased by one segment of the spinal cord, in 8% patients completeness of spinal cord injury improved. The improvement of functional independence was found during the first 12 months: according to FIM, in the period of 3-6 months by 18±11.1 points, in the period of 6-12 months by 8±8.1 points; according to VLT in the period of 3-6 months by 19±14.4 points, in the period of 6-12 months by 5.6±6.02 points.

CONCLUSIONS

Upper limb motor recovery mostly occurs in the first 6 months while the functional independence improvement lasts during the first 12 months after a spinal cord injury.

Keywords:

tetraplegia
rehabilitation
motor recovery

Authors:

Bushkov F.A.

Preodolenie Rehabilitation Center

Romanovskaya E.V.

Rehabilitation center «Overcoming»

Usanova E.V.

Rehabilitation center «Overcoming»

Razumov A.N.

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine

Sichinava N.V.

Moscow Centre for Research and Practice in Medical Rehabilitation, Restorative and Sports Medicine of the Department of Healthcare of Moscow

Received:

04.09.2020

Accepted:

07.09.2020

List of references:

  1. Singh A, Tetreault L, Ryan SK, et al. Global prevalence and incidence of traumatic spinal cord injury. Clin Epidemiol. 2014;6:309–331.  https://doi.org/10.2147/CLEP.S68889
  2. Wyndaele M, Wyndaele JJ. Incidence, Prevalence and Epidemiology of Spinal Cord Injury: What Learns a Worldwide Literature Survey? Spinal Cord. 2006;44(9):523–529.  https://doi.org/10.1038/sj.sc.3101893
  3. Freund P, Weiskopf N, Ashburner J, et al. MRI investigation of the sensorimotor cortex and the corticospinal tract after acute spinal cord injury: a prospective longitudinal study. Lancet Neurol. 2013;12(9):873–881.  https://doi.org/10.1016/S1474-4422(13)70146-7
  4. Miyanji F, Furlan JC, Aarabi B, et al. Acute cervical traumatic spinal cord injury: MR imaging findings correlated with neurological outcome – prospective study with 100 consecutive patients. Radiology. 2007;243:820–827.  https://doi.org/10.1148/radiol.2433060583
  5. Freund P, Weiskopf N, Ward NS. Disability, atrophy and cortical reorganization following spinal cord injury. Brain. 2011;134:1610–1622. https://doi.org/10.1093/brain/awr093
  6. Burns AS, Ditunno JF. Establishing prognosis and maximizing functional outcomes after spinal cord injury: a review of current and future directions in rehabilitation management. Spine. 2001;26(24 Suppl):137–145.  https://doi.org/10.1097/00007632-200112151-00023
  7. Ditunno JF. The John Stanley Coulter Lecture. Predicting Recovery After Spinal Cord Injury: A Rehabilitation Imperative. Arch Phys Med Rehabil. 1999;80(4):361–364.  https://doi.org/10.1016/s0003-9993(99)90270-8
  8. Anderson KD. Targeting recovery: priorities of the SCI population. J Neurotrauma. 2004;21(4):1371–1383. https://doi.org/10.1089/neu.2004.21.1371
  9. Laffont I, Hoffmann G, Dizien O, et al. How do C6/C7 tetraplegic patients grasp balls of different sizes and weights? Impact of surgical musculotendinous transfers. Spinal Cord. 2007;45:502–512.  https://doi.org/10.1038/sj.sc.3102047
  10. Johanson ME, Murray WM. The unoperated hand: the role of passive forces in hand function after tetraplegia. Hand Clin. 2002;18:391–398.  https://doi.org/10.1016/s0749-0712(02)00035-5
  11. Velstra IM, Bolliger M, Krebs J, et al. Predictive Value of Upper Limb Muscles and Grasp Patterns on Functional Outcome in Cervical Spinal Cord Injury. Neurorehabil Neural Repair. 2016;30(4):295–306.  https://doi.org/10.1177/1545968315593806
  12. Yozbatiran N, Francisco GE. Robot-assisted Therapy for the Upper Limb After Cervical Spinal Cord Injury. Phys Med Rehabil Clin N Am. 2019;30(2):367–384.  https://doi.org/10.1016/j.pmr.2018.12.008
  13. Morozov IN. Biomechanical assessment of hand movement disorders in patients with cervical spinal cord injury. Rosijskij zhurnal biomekhaniki. 2011;15(2):77–83. (In Russ.).
  14. Bodrova RA, Gumarova LSh. Sovremennye tekhnologii fizicheskoj reabilitatsii patsientov s travmoj spinnogo mozga. Vestnik vosstanovitel’noj meditsiny. 2014;(2):32–36. (In Russ.).
  15. Kirshblum SC, Burns SP, Biering-Sorensen F, et al. International standards for neurological classification of spinal cord injury. J Spinal Cord Med. 2011;34(6):535–546.  https://doi.org/10.1179/204577211X13207446293695
  16. Hall KM, Cohen ME, Wright J, et al. Characteristics of the Functional Independence Measure in traumatic spinal cord injury. Arch Phys Med Rehabil. 1999;80(11):1471–1476. https://doi.org/10.1016/s0003-9993(99)90260-5
  17. Post MWM, Van Lieshout G, Seelen HAM, et al. Measurement properties of the short version of the Van Lieshout test (VLT-SF). Spinal Cord. 2006;44(12):763–771.  https://doi.org/10.1038/sj.sc.3101937
  18. Waters RL, Adkins RH, Yakura JS, Sie I. Motor and sensory recovery following complete tetraplegia. Arch Phys Med Rehabil. 1993;74(3):242–247. 
  19. Ditunno JFJr, Stover SL, Freed MM, Ahn JH. Motor recovery of the upper extremities in traumatic quadriplegia: a multicenter study. Arch Phys Med Rehabil. 1992;73(5):431–436. 
  20. Van De Meent H, Hosman AJF, Hendriks J, et al. Severe degeneration of peripheral motor axons after spinal cord Injury: A European Multicenter Study in 345 Patients. Neurorehabilitation and Neural Repair. 2010;24(7):657–665.  https://doi.org/10.1177/1545968310368534
  21. Bozzo A, Marcoux J, Radhakrishna M, et al. The role of magnetic resonance imaging in the management of acute spinal cord injury. J Neurotrauma. 2011;28:1401–1411. https://doi.org/10.1089/neu.2009.1236
  22. Harvey LA, Batty J, Jones R, Crosbie J. Hand Function of C6 and C7 Tetraplegics 1-16 Years Following Injury. Spinal Cord. 2001;39(1):37–43.  https://doi.org/10.1038/sj.sc.3101101
  23. Illman A, Stiller K, Williams M. The prevalence of orthostatic hypotension during physiotherapy treatment in patients with an acute spinal cord injury. Spinal Cord. 2000;38(12):741–747.  https://doi.org/10.1038/sj.sc.3101089
  24. Ditunno JF, Cohen ME, Hauck WW. Recovery of upper-extremity strength in complete and incomplete tetraplegia: a multicenter study. Arch Phys Med Rehabil. 2000;81:389–393.  https://doi.org/10.1053/mr.2000.3779

Close metadata

Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.